Microsurgical treatment for bilateral thumb defect: five case reports.

Abstract:

:The authors present a new and efficient treatment for reconstruction of bilateral defective thumbs by different configured toe-tissues transplantations in a single stage, including bilateral second-toe transfer in 2 cases, bilateral hallux wrap-around flap transfer in 1 case, bilateral modified hallux wrap-around flap transfer in 1 case, and combined second toe with island flap with neurovascular pedicles from the proximal and dorsal aspect of the index finger transfer in 1 case. In total, eight transferred tissues survived uneventfully after circulation monitor and medicine administration according to the rules of microsurgery, and in two other transferred toe tissues, temporary circulation crises occurred. Over a 1-year follow-up, the satisfactory appearance and excellent function of the reconstructed bilateral thumbs were noted. For ensuring the success of the procedure, the authors emphasize the establishment of a double artery supply and venous return-flow systems and the modification of the hallux wrap-around flap dissection and tendon repair. Meanwhile, three-stage systemically functional rehabilitations also improved functional restoration of reconstructed thumbs.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Xu L,Gu YD,Xu JG,Rui YJ,Shou KS

doi

10.1002/micr.10213

subject

Has Abstract

pub_date

2003-01-01 00:00:00

pages

547-54

issue

6

eissn

0738-1085

issn

1098-2752

journal_volume

23

pub_type

杂志文章
  • Repair of bone defect with vascularized tissue engineered bone graft seeded with mesenchymal stem cells in rabbits.

    abstract::This study evaluated the results of repair of the radius defect with a vascularized tissue engineered bone graft composed by implanting mesenchymal stem cells (MSCs) and a vascular bundle into the xenogeneic deproteinized cancellous bone (XDCB) scaffold in a rabbit model. Sixty-four rabbits were used in the study. Amo...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20854

    authors: Zhao M,Zhou J,Li X,Fang T,Dai W,Yin W,Dong J

    更新日期:2011-02-01 00:00:00

  • Effects of normovolemic hemodilution on blood flow in the rabbit ear.

    abstract::The effect of isovolemic hemodilution using dextran-60 on arterial blood flow in the rabbit ear was investigated. The animals were anesthetized and an electromagnetic flow probe was applied around the central artery of the ear. Isovolemic hemodilution was performed during a 15 min exchange period. Two degrees of hemod...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920110106

    authors: Frost-Arner L,Aberg M,Brueckner UB,Wieslander JB,Messmer K

    更新日期:1990-01-01 00:00:00

  • Evaluation of a temporary arteriovenous shunt to establish neovascularization in a musculocutaneous flap: an experimental study.

    abstract::On the dorsum of adult Sprague-Dawley rats, 3 x 7 cm pedicle flaps were raised and a temporary arteriovenous shunt (AVS) from anastomosis of the tail artery and vein was placed beneath. Fourteen, 21 and 28 days later, the pedicle flaps were converted to island flaps leaving only the AVS attachment. The degree of subse...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920150115

    authors: Zhou ZY,Nichter LS,West BR,Navarrette PM

    更新日期:1994-01-01 00:00:00

  • Sleeve anastomosis in head and neck reconstruction.

    abstract::Various methods have been described in the literature to manage vascular discrepancies. In the head and neck area, where small recipient vessels are the rule, a reliable technique is needed to safely perform the anastomosis. During the past 10 years, we have carried out research (de la Peña et al., Transactions of the...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/1098-2752(2000)20:4<193::aid-micr9>3.0.co;

    authors: de la Peña-Salcedo JA,López-Monjardin H

    更新日期:2000-01-01 00:00:00

  • Transfer of two motor branches of the anterior obturator nerve to the motor portion of the femoral nerve: an anatomical feasibility study.

    abstract::Femoral nerve lesions are uncommon, but very distressing at the functional level because of the absence of knee locking mechanism by the quadriceps muscle. We propose here a new neurotization procedure of obturator nerve motor branches to the motor portion of the femoral nerve in the thigh. This study was conducted on...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22012

    authors: Goubier JN,Teboul F,Yeo S

    更新日期:2012-09-01 00:00:00

  • A thinned forearm flap transfer to the nose.

    abstract::We employed a forearm flap that had been thinned through primary defatting for nasal covering in three cases to reduce the need for secondary revision. Partial flap loss did occur in one case due to subcutaneous vascular plexus injury, but acceptable results were obtained in the remaining two cases. Donor site concave...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(SICI)1098-2752(1996)17:4<184::AID-MICR4>3

    authors: Kobayashi S,Akizuki T,Yoza S,Ohmori K

    更新日期:1996-01-01 00:00:00

  • Secondary ischemic tolerance improved by administration of L-NAME in rat flaps.

    abstract::Nitric oxide (NO) under basal conditions is an important regulator of vascular tone. Under ischemic conditions, however, NO can combine with superoxide anion to produce the damaging hydroxyl free radical. The current project observes the effect of inhibiting NO production (L-Nitro-amino-methyl-arginine, L-NAME) on fla...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(SICI)1098-2752(1996)17:8<425::AID-MICR1>3

    authors: Knox LK,Angel MF,Gamper T,Amiss LR,Morgan RF

    更新日期:1996-01-01 00:00:00

  • Cold storage of rat skeletal muscle free flaps and pre-ischemic perfusion with modified UW solution.

    abstract::We used the rat medial gastrocnemius free flap, based on a pedicle of the femoral artery and vein, in order to test the tolerance of skeletal muscle to cold ischemia-reperfusion (IR) injury, and to determine whether tolerance can be enhanced by pre-ischemic perfusion with tissue/organ preservation solutions. Muscle fl...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/1098-2752(2000)20:7<343::aid-micr6>3.0.co;

    authors: Wagh M,Pantazi G,Romeo R,Hurley JV,Morrison WA,Knight KR

    更新日期:2000-01-01 00:00:00

  • Vascularized periosteal graft from the first metatarsal bone: a new technique to prevent collapse of osteonecrosis of the talus in children. A case report.

    abstract::Several microsurgical techniques have been described for the treatment of osteonecrosis of the talus (ONT). Recently reported in children, vascularized periosteal grafts showed promising revascularizing properties. We report a novel technique using a pedicled periosteal graft from the first metatarsal bone to treat st...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22045

    authors: Soldado F,Barrera-Ochoa S,Fontecha CG,Haddad S,Barastegui D,Barber I,Rego P

    更新日期:2013-01-01 00:00:00

  • A second superior gluteal artery perforator flap with previous liposuction to the same breast after resection of initial SGAP breast reconstruction due to cancer recurrence.

    abstract::Free superior gluteal artery perforator (SGAP) flaps are a reliable option for breast reconstruction in patients with insufficient abdominal tissue or abdominal scarring. Liposuction in a donor site is a relative contraindication for harvesting a free flap, despite current case reports challenging this tenet. We descr...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.21989

    authors: Avashia YJ,Desrosiers AE 3rd,Flores JI

    更新日期:2012-09-01 00:00:00

  • Functional assessment of donor-site morbidity after harvest of a fibula chimeric flap with a sheet of soleus muscle for mandibular composite defect reconstruction.

    abstract::This study aims to compare donor-site morbidity between the traditional fibula osteocutaneous and chimeric fibula flaps for mandibular reconstruction. Twenty-three patients with head and neck cancer were recruited. Fifteen patients underwent the traditional fibula osteocutaneous flap. Eight patients received a chimeri...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20955

    authors: Huang YC,Leong CP,Pong YP,Liu TY,Kuo YR

    更新日期:2012-01-01 00:00:00

  • Reconstruction of diabetic lower leg and foot soft tissue defects using thoracodorsal artery perforator chimeric flaps.

    abstract:BACKGROUND:Reconstruction of complicated diabetic lower leg and foot defects involving multiple tissue components remains a challenge. The purpose of this report is to introduce thoracodorsal artery perforator (TDAP) chimeric flaps for reconstructing diabetic lower leg and foot soft tissue defects. PATIENTS AND METHOD...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30314

    authors: Sung IH,Jang DW,Kim SW,Kim YH,Kim SW

    更新日期:2018-09-01 00:00:00

  • Objective preoperative estimation of the ability of primary closure on anterolateral thigh free flap donor site: circumference and area ratios of deep tissue to thigh.

    abstract:PURPOSE:The purpose of this study was to consider the relationship between the ratio of deep tissue including muscle to thigh at donor sites and the possibility of performing primary closure of donor site. METHODS:The subjects were 74 patients who had harvesting of anterolateral thigh (ALT) free flap from June 2005 to...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22080

    authors: Song K,Nam S,Choi S,Kim J,Lee J,Bae Y

    更新日期:2013-05-01 00:00:00

  • Reconstruction of distal hand and foot defects with the free proximal peroneal artery perforator flap.

    abstract:BACKGROUND:The proximal peroneal artery perforator (PPAP) flap is a reliable, thin fasciocutaneous flap. The purpose of this article was to report our experience with the use of free PPAP flaps for reconstruction of defects of the distal hand and foot. PATIENTS AND METHODS:From November 2012 to September 2013, 9 patie...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22364

    authors: Scaglioni MF,Kuo YR,Chen YC

    更新日期:2016-03-01 00:00:00

  • Morphometric changes in free neurovascular latissimus dorsi flaps: an experimental study.

    abstract::This study was designed to investigate regeneration of reinnervated, free transplanted muscles. We used a rat model, consisting of eight rats per group, in which the latissimus dorsi muscle was transplanted orthotopically and then harvested and evaluated after 2 and 12 weeks. Age-matched control animals were used to o...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920161205

    authors: Becker MH,Lassner F,Dagtekin FZ,Walter GF,Berger A

    更新日期:1995-01-01 00:00:00

  • Microsurgical second dorsal metacarpal artery cutaneous and tenocutaneous flap for distal finger reconstruction: anatomic study and clinical application.

    abstract::In this paper, we report on the anatomical study of 34 cadaveric forearms with red latex injection and the clinical application of this study to 11 cases of microsurgical second dorsal metacarpal artery (SDMA) flaps. There were 8 cutaneous cases and 3 tenocutaneous cases using SDMA flaps for distal finger reconstructi...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20077

    authors: Yu GR,Yuan F,Chang SM,Zhang F

    更新日期:2005-01-01 00:00:00

  • Free latissimus dorsi flap with long venous grafts for closure of a soft tissue defect of the spine in a patient with Noonan's syndrome: a case report.

    abstract::A 23-year-old male patient was operated for a soft tissue defect of the spine using a free musculocutaneous latissimus dorsi flap with two 21-cm long venous grafts connecting the flap to its vascular supply at the thoracodorsal vessels. This young patient suffered from Noonan's Syndrome that is a complex hereditary ma...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20625

    authors: Sinis N,Lanaras TI,Kraus A,Werdin F,Schaller HE,Peek A

    更新日期:2009-01-01 00:00:00

  • New methods for objective angiogenesis evaluation of rat nerves using microcomputed tomography scanning and conventional photography.

    abstract:INTRODUCTION:Nerve regeneration involves multiple processes, which enhance blood supply that can be promoted by growth factors. Currently, tools are lacking to visualize the vascularization patterns in transplanted nerves in vivo. The purpose of this study was to describe three-dimensional visualization of the vascular...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30537

    authors: Saffari TM,Mathot F,Bishop AT,Shin AY

    更新日期:2020-03-01 00:00:00

  • The treatment of composite defect of bone and soft tissues with a combined latissimus dorsi and serratus anterior and rib free flap.

    abstract:BACKGROUND:Composite defects of bone and soft tissues represent a reconstructive challenge. Several techniques have been described in the medical literature; however, extensive composite defects should be reconstructed with microvascular free tissue transfer. The purpose of this report is to present the use of a compos...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22067

    authors: Trignano E,Fallico N,Nitto A,Chen HC

    更新日期:2013-03-01 00:00:00

  • Free and island flap transfer for soft tissue defects in the hand and forearm.

    abstract::Two hundred twenty patients with soft tissue defects in the hand and forearm were treated with 226 free and island flap transfers. Reconstructed sites involved the thumb in 74 cases, the fingers in 117, the hand in 30, and the forearm in 5. Seventy-nine patients received 82 free flaps, and 141 patients received 144 is...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(SICI)1098-2752(1996)17:3<150::AID-MICR10>

    authors: Yajima H,Tamai S,Fukui A,Ono H,Inada Y

    更新日期:1996-01-01 00:00:00

  • Current status of topical antithrombotic agents in microvascular surgery.

    abstract::Several technical advances over the years have allowed microsurgery to be successful. However, thrombosis, particularly at the anastomosis site, remains a complication of microvascular surgery. Various preventive measures, including drugs, have been used to improve microvascular surgical anastomotic patency rates. The...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.1920150905

    authors: Das SK,Miller JH

    更新日期:1994-01-01 00:00:00

  • Optical requirements on magnification systems for intracranial video microsurgery.

    abstract:INTRODUCTION:The basic idea of video-microsurgery is the improvement of ergonomic conditions in microsurgical procedures by replacing the bulky operating microscope with a compact videosystem. OBJECTIVE:To specify optical requirements on a videosystem for microsurgical intracranial procedures in neurosurgery. METHODS...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20915

    authors: Ebner FH,Marquardt JS,Hirt B,Tatagiba M,Duffner F

    更新日期:2011-10-01 00:00:00

  • Dual innervated index to thumb cross finger or island flap reconstruction.

    abstract::Partial volar amputations of the entire thumb pulp require soft tissue coverage that provides not only padding and protection for exposed bone and tendons, but also restoration of discriminative sensation. A modification of the radial sensory innervated cross finger flap from index to thumb is described, which include...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920080312

    authors: Hastings H 2nd

    更新日期:1987-01-01 00:00:00

  • The outcome of free tissue transfers in patients with hematological diseases: 20-year experiences in single microsurgical center.

    abstract:BACKGROUND:Free tissue transfers performed in patients with hematological diseases represent significant challenges for micro-surgeons. There are rare literatures that address the outcome in these patients. Therefore, we collected our database, analyzed the outcome, reliability, and related-management of microsurgical ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22243

    authors: Lin PY,Cabrera R,Chew KY,Kuo YR

    更新日期:2014-10-01 00:00:00

  • Microvascular reconstructions of traumatic-combined tissue loss at foot and ankle level.

    abstract::Severe injuries at foot and ankle level with loss of soft tissues and bone are often treated by means of amputation. The transfer of composite free flaps from various donor sites may provide anatomical reconstruction of the foot and ankle and function. Ten patients who sustained severe combined tissue injuries of the ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20863

    authors: Battiston B,Antonini A,Tos P,Daghino W,Massazza G,Riccio M

    更新日期:2011-03-01 00:00:00

  • Preventive haemostasis with an inflatable tourniquet for microsurgical distal arteriovenous fistulas for haemodialysis.

    abstract::The creation of a distal arteriovenous fistula for haemodialysis is made easier by using preventive haemostasis with an inflatable tourniquet. Preventive haemostasis reduces the duration of the surgery and reduces the arterial spasm provoked by the dissection. When microsurgical techniques and preventive haemostasis a...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920140709

    authors: Bourquelot PD

    更新日期:1993-01-01 00:00:00

  • Establishment of duodenojejunal bypass surgery in mice: a model designed for diabetic research.

    abstract::We have developed a mouse duodenojejunal bypass (DJB) surgical model that is for studying the effects of bariatric surgery on glucose homeostasis and has potential to impact clinical therapy of diabetes. The operation consists of using the majority of the duodenum and proximal part of the jejunum for biliopancreatic d...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20454

    authors: Liu W,Zassoko R,Mele T,Luke P,Sun H,Liu W,Garcia B,Jiang J,Wang H

    更新日期:2008-01-01 00:00:00

  • The lymphatic superficial circumflex iliac vessels deep branch perforator flap: A new preventive approach to lower limb lymphedema after groin dissection-preliminary evidence.

    abstract:OBJECTIVE:Groin dissection is the procedure with the highest risk of lower limb lymphedema.As lymph stasis causes irreversible alterations to the limb over time,therapies should be administered in early stages,or better yet, lymphatic drainage impairment should be prevented.We developed a new preventive approach to lym...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.30142

    authors: Gentileschi S,Servillo M,Garganese G,Fragomeni S,De Bonis F,Cina A,Scambia G,Salgarello M

    更新日期:2017-09-01 00:00:00

  • Small bowel transplantation.

    abstract::Small intestinal transplantation has had several clinical attempts based on extensive experimental work during the past two decades. Several models, such as auxiliary (heterotopic) or orthotopic models, have been developed in regard to problems with graft immunology and function. The question of mesenteric-portal or m...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.1920110411

    authors: Schroeder P,Gundlach M,Schweizer E,Deltz E

    更新日期:1990-01-01 00:00:00

  • Free flaps for reconstruction of the lower back and sacral area.

    abstract::Free flap reconstruction of the lower back and sacrum is complicated by a paucity of recipient vessels and difficulties in postoperative care. From 1983 to 1997, six patients with intractable wounds of the lower back and sacral area were treated with free flaps. The flaps used were latissimus dorsi (three), combined l...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/(sici)1098-2752(2000)20:2<72::aid-micr5>3.

    authors: Hung SJ,Chen HC,Wei FC

    更新日期:2000-01-01 00:00:00